| NPI | 1437566783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301116338) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.143999) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2019-02-21 |